Do you have a disability or additional support needs that you would like us to be aware of?

Yes, please provide detailsYes, please provide details

No

Prefer not to say

Declaration

I am aged over 19 years old and have less than a Level 2 qualification therefore eligible for a free place

I agree to the following statement:

I agree that any information provided on this form, and photos/videos taken during activites and events, can be used by Southern Brooks Community Partnerships and shared with other organisations working with them to help deliver, fund and evaluate our programmes and for the benefit of the my welfare, safeguarding or future journey.
I understand I have the right to ask to see information held about me by Southern Brooks. For further information about how Southern Brooks uses this information, please contact us directly.
I confirm the details on this form are correct and I agree that the information can be used in accordance with SBCP's privacy statement (detailed above)